Individual
THERESA KOUO
Active
Individual
THERESA KOUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
D0064346
MD
2085N0700X
Neuroradiology Physician
MD460536
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD460536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1020900
—
CA
05
—
103284394
—
PA
Enumeration date
03/14/2007
Last updated
03/04/2026
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